#248 Viscoelastic Testing Explained | TEG and ROTEM Made Simple (ICU Guide)

Viscoelastic testing with TEG (thromboelastography) and ROTEM (rotational thromboelastometry) is changing how we approach coagulopathy, bleeding, and massive transfusion in the ICU and trauma setting.

In this episode, we break down TEG and ROTEM in a simple, practical way so you can confidently interpret results and apply them at the bedside.

We cover:

• The fundamentals of viscoelastic testing physiology
• Key TEG parameters: R time, K time, alpha angle, MA, LY30
• ROTEM equivalents and how they compare
• EXTEM, INTEM, FIBTEM, APTEM
• How to recognize patterns of coagulopathy (platelet dysfunction, fibrinogen deficiency, hyperfibrinolysis)
• Using TEG/ROTEM to guide massive transfusion protocols (MTP)
• Practical applications in trauma, surgery, and critical care

This episode is part of our emergency critical care series focused on making complex ICU physiology and decision-making simple, visual, and clinically actionable.

🔥 Master emergency critical care with our full curriculum + downloadable study guides: https://www.youtube.com/watch?v=LbxDwh7jQlo

⚠️ Disclaimer: This podcast is for educational purposes only and does not constitute medical advice. The views expressed are those of the creators and do not represent any affiliated institutions. Clinical decisions should be made based on individual patient context, current evidence, and institutional protocols.